Tracks to face a breast imaging and succeed

Congress:

ECR 2013

Poster Number:

C-1089

Type:

Educational Exhibit

Keywords:

Breast, Management, Mammography, Ultrasound, MR, Screening, Diagnostic procedure, Biopsy, Education and training, Cancer

Authors:

V. Mayoral Campos¹, J. M. Sainz Martinez¹, C. Bonnet Carron¹, J. A. Guirola², J. A. Fernandez Gomez¹, J. Sancho Pérez¹; ¹Zaragoza/ES, ²ZARAGOZA, ZA/ES

DOI:

10.1594/ecr2013/C-1089

DOI-Link:

https://dx.doi.org/10.1594/ecr2013/C-1089

Fig. 9: Nodules Morfology

Fig. 10: Nodules margins

Fig. 11: Nodules density

Fig. 14: Examples of Benign Calcifications

Learning objectives

In this e-poster we are willing to remark the following key points: To review and illustrate the BI-RADS mammogram and ultrasound system. To describe what to look for in the breast imaging studies in order to help residents and non-specialized radiologists to lose their fear to the breast interpretation. To illustrate with examples all the explanations.

Background

Breast Imaging Reporting and Data System (BI-RADS)was created for the ACR (American Journal of Radiology) and it is considered the standard for reporting and assessing the relative malignancy of breast abnormalities. The BI-RADS system was created in 1992 with the next objetives: It contains a lexicon for standardized terminology (descriptors) for mammography, breast US and MRI, as well as standard reporting with final assessment categories and guidelines for follow-up and outcome monitoring. It is considered the main system of communication among physicians, as it tells...

Imaging findings OR Procedure details

Imaging techniques: Each technique used in breast imaging has a principal role in the diagnoses of breast cancer. The principal indications are: Mammography: Screening of breast cancer Palpable mass Abnormality of skin or nipple Search of unknown primary cancer Follow-up study of probably benign lesion or calcifications Ultrasound: Inconclusive findings in mammography (specially palpable lesion not visible at mammography) Screening of high breast density. Differenciate cystic from solid lesions. Pregnant or lactant women US-guided biopsy MRI: Inconclusive findings in conventional imaging Preoperative staging (screening of...

Conclusion

Some things that all radiologists should know to read breast imaging easily: Make sure that you are looking a breast lesion. Use standard BI-RADS descriptors for Mammography, Ultrasound and MRI. Your final assessment has always to be based on the most worrisome finding. Make sure that you are looking the same lesion with all the imaging modalities.

References

1- American College of Radiology. BI-RADS®—Mamography. 4th ed. In: Breast Imaging Reporting and Data System (BI-RADS) atlas. 4th ed. Reston, Va: American College of Radiology, 2003. 2- American College of Radiology. BI-RADS®—Ultrasound. 1st ed. In: Breast Imaging Reporting and Data System (BI-RADS) atlas. 4th ed. Reston, Va: American College of Radiology, 2003. 3- American College of Radiology. BI-RADS®—MRI. 41st ed. In: Breast Imaging Reporting and Data System (BI-RADS) atlas. 4th ed. Reston, Va: American College of Radiology, 2003. 4- Harvey JA, Nicholson BT, Cohen MA....